Kristina Marie Potanos, MD - Medicare General Surgery in Herrin, IL

Kristina Marie Potanos, MD is a medicare enrolled "Surgery" physician in Herrin, Illinois. She graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Southern Illinois Medical Services Nfp and her current practice location is 220 S Park Ave Fl 3, Herrin, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 942-2002.

Kristina Marie Potanos is licensed to practice in Illinois (license number 036141342) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1134393267.

Contact Information

Kristina Marie Potanos, MD
220 S Park Ave Fl 3,
Herrin, IL 62948-3602
(618) 942-2002
(618) 351-6497



Physician's Profile

Full NameKristina Marie Potanos
GenderFemale
SpecialityGeneral Surgery
Experience17 Years
Location220 S Park Ave Fl 3, Herrin, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kristina Marie Potanos graduated from medical school in 2007
  NPI Data:
  • NPI Number: 1134393267
  • Provider Enumeration Date: 04/18/2008
  • Last Update Date: 07/16/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9830467778
  • Enrollment ID: I20170616001215

Medical Identifiers

Medical identifiers for Kristina Marie Potanos such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134393267NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 036141342 (Illinois)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Southern Illinois Hospital Services Dba Herrin HospitalHerrin, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southern Illinois Medical Services Nfp3678677390254

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kristina Marie Potanos allows following entities to bill medicare on her behalf.
Entity NameSouthern Illinois Medical Services Nfp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770656837
PECOS PAC ID: 3678677390
Enrollment ID: O20070404000595

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kristina Marie Potanos is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kristina Marie Potanos, MD
Po Box 3988,
Carbondale, IL 62902-3988

Ph: (618) 457-5200
Kristina Marie Potanos, MD
220 S Park Ave Fl 3,
Herrin, IL 62948-3602

Ph: (618) 942-2002

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Surgery Doctors in Herrin, IL

William F. Hays, M.D.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 3305 Logan Dr, Herrin, IL 62948
Phone: 618-997-4444    Fax: 618-993-1173
Ellie Marie Bentley, D.O.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 220 S Park Ave Fl 3, Herrin, IL 62948
Phone: 618-942-2002    Fax: 618-351-6497
Dr. Cyril Kamya, M.D
Surgery
Medicare: Medicare Enrolled
Practice Location: 317 S 14th St Ste 1, Herrin, IL 62948
Phone: 618-988-6171    
Medha Suwanawongse, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 121 N 13th St, Herrin, IL 62948
Phone: 618-988-6025    Fax: 618-988-6024
Dr. Robert Judson Brewer, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 220 S Park Ave, 3rd Floor, Herrin, IL 62948
Phone: 618-942-2002    Fax: 618-351-6497
Anne Hardy-henry,
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 317 S 14th St Ste 1, Herrin, IL 62948
Phone: 618-988-6171    Fax: 618-351-6491

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